APPLICATION FOR MARRIAGE LICENSE /
CERTIFICATE OF LEGAL CAPACITY TO CONTRACT MARRIAGE
Please write in CAPITAL LETTERS using BLACK INK
Philippine Consulate General in Los Angeles
Sir/ Madam:
May I apply for a License to Contract Marriage / Certificate of Legal
Capacity to Contract Marriage with and
to this effect, being duly sworn, I hereby depose and say that I have all the
necessary qualifications and none of the legal disqualifications to contract
the said marriage, and that the following data are true and correct to the
best of my knowledge and information:
Philippine Consulate General Los Angeles
Sir/ Madam:
May I apply for a License to Contract Marriage / Certificate of Legal
Capacity to Contract Marriage with ____ and
to this effect, being duly sworn, I hereby depose and say that I have all the
necessary qualifications and none of the legal disqualifications to contract
the said marriage, and that the following data are true and correct to the
best of my knowledge and information:
(Day) (Month) (Year) (Age)
(Day) (Month) (Year) (Age)
(City/ Municipality) (Province)
(City/ Municipality) (Province)
Civil Status before this
marriage
Degree of relationship between
contracting parties
If previously married, how it was
dissolved.
place where it was dissolved
date when it was dissolved
If needed consent or advice,
name of persons who gave it
____________________________
Signature of Applicant
Subscribed and sworn to before me this ____________________. at the
Philippine Consulate General in Los Angeles, California
Processor:
____________________________
Signature of Applicant
Subscribed and sworn to before me this ____________________. at the
Philippine Consulate General in Los Angeles, California
Processor:
